The intensive care nurse is responsible for the care of a patient with shock. What cardiac signs or symptoms would suggest to the nurse that the patient may be experiencing acute organ dysfunction? Select all that apply
A) Drop in systolic blood pressure of ?40 mm Hg from baselines
B) Hypotension that responds to bolus fluid resuscitation
C) Exaggerated response to vasoactive medications
D) Serum lactate >4 mmol/L
E) Mean arterial pressure (MAP) of ?65 mm Hg
Ans: A, D, E
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Signs of acute organ dysfunction in the cardiovascular system include systolic blood pressure <90 mm Hg or mean arterial pressure (MAP) <65 mm Hg, drop in systolic blood pressure >40 mm Hg from baselines or serum lactate >4 mmol/L. An exaggerated response to vasoactive medications and an adequate response to fluid resuscitation would not be noted.
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